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Learning Objective 1: The learner will be able to know that Woman’s venous circulation in lower limb differe by presence or absence of disease.
Learning Objective 2: The learner will be able to know that Woman’s venous circulation in lower limb differe by the diagnosis of disease.
Methods: We recruited gynecological outpatients and health women. They were defined as three groups; Menopause Symptom group and PMS group were defined by each diagnosis, Control group were health women aged 20’s to 30’s. We used PPG; SVD Monitor Compact (Telmed Medizintechnik GmbH) which can measure venos refilling time (VRT) noninvasively and visualize its graph. The longer VRT is, the better hemodynamic of venous circulation is recognized. The dates were analyzed using PASW statistics17.0. This study was permitted by the Ethical Board of Review at the Hospital.
Results: There were 13 Menopause Symptom group, 12 PMS group and 15 Control group. Each average age of groups was 53.3, 38.5 and 24.0 years old. The result of one-way analysis of variance showed that the VRT is significantly different among three groups in both right and left lower limb (p<.001). The VRT was little deference between Menopause Symptom group and PMS group, and significantly longer in Control group than the other groups. Also, we could find a negative correlation between VRT and the age (n=40, right r=-.46, left r=.36). The figures of VRT graph were categorized as three groups: normal type, over type and shoulder type. The result of square test in the graphs showed that Control group was nearly normal type, PMS and Menopause Symptom group was respectively almost over and shoulder type (right p<.01).
Conclusion: VRT showed a significant difference by presence or absence of disease. And the graph of VRT was different by the diagnosis of disease. These results show that venous circulation in lower limb was tend to be affected by not only women’s age but also their own diseases.